压力性损伤预警联合“四阶段五维”护理在颅脑损伤患者护理中的应用  

Application of Pressure Injury Warning and "Four Stages and Five Dimensions" Nursing in the Nursing of Patients with Traumatic Brain Injury

作　　者：祝怀芹[1] 陈媛媛 马秋云 王芹 张跃华 董华君 ZHU Huai-qin;CHEN Yuan-yuan;MA Qiu-yun;WANG Qin;ZHANG Yue-hua;DONG Hua-jun(Department 2 of Neurosurgery,Second People's Hospital of Liaocheng City,Liaocheng Shandong 252600,China)

机构地区：[1]聊城市第二人民医院神经外二科,山东聊城252600

出　　处：《中华养生保健》2024年第16期93-96,共4页CHINESE HEALTH CARE

摘　　要：目的探讨颅脑损伤(TBI)患者应用压力性损伤预警联合“四阶段五维”护理的干预效果。方法选取2022年2月—2023年6月聊城市第二人民医院收治的96例TBI患者作为研究对象,以随机数表法将其分成干预组(n=48)与对照组(n=48),对照组给予常规护理,干预组给予压力性损伤预警联合“四阶段五维”护理,比较两组神经功能、意识状态、日常生活能力及压力性损伤发生情况。结果干预后两组美国国立卫生院神经功能缺损(NIHSS)评分均下降,且干预组较对照组更低,差异有统计学意义(P<0.05);干预后两组格拉斯哥昏迷量表(GCS)评分均升高,且干预组较对照组更高,差异有统计学意义(P<0.05);干预后两组改良Barthel指数量表(MBI)评分均升高,且干预组较对照组更高,差异有统计学意义(P<0.05);干预组压力性损伤发生率较对照组更低,差异有统计学意义(P<0.05)。结论压力性损伤预警联合“四阶段五维”护理应用于TBI患者护理中,能够改善神经功能与意识状态,提高日常生活能力,降低压力性损伤发生率。Objective To explore the intervention effect of pressure injury warning and"four stages and five dimensions"nursing on TBI patients.Methods A total of 96 TBI patients from February 2022 to June 2023 who were admitted in Second People's Hospital of Liaocheng City were selected,and randomly divided into the intervention group(n=48,pressure injury warning and"four stages andfive dimensions"care)and the control group(n=48,routine care).The neurological function,consciousness status,daily living ability,and incidence of pressure injury were compared in both groups.Results After intervention,NIHSS scores in both groups were decreased(P<0.05),and in comparision of the control group,the intervention group was lower(P<0.05).After intervention,GCS scores in both groups were increased(P<0.05),and in comparision of the control group,the intervention group was higher(P<0.05).After intervention,MBI scores in both groups were increased(P<0.05),and in comparision of the control group,the intervention group was higher(P<0.05).In the incidence of pressure injury,in comparision of the control group,the intervention group was lower(P<0.05).Conclusion The application of pressure injury warning and"four stages andfive dimensions"nursing in the nursing of TBI patients can improve neurological function and consciousness status,enhance daily living ability,and reduce the incidence of pressure injury.

关 键 词：颅脑损伤 压力性损伤预警 四阶段五维 神经功能 

分 类 号：R473.74[医药卫生—护理学]